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Epicondylitis is the second most frequently encountered head and upper limb musculoskeletal diagnosis in primary care clinics, with an incidence rate as high as 7/1,000 patients per year. It is believed to be a degenerative process, elicited from repetitive microtrauma and failure of the innate healing response based on biopsies from affected tissue having demonstrated angiofibroblastic hyperplasia, void of inflammatory markers
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